Individual
DR. MATTHEW V JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60230908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012736
—
WA
01
—
346700
WA STATE LNI
WA
Enumeration date
04/29/2008
Last updated
01/05/2016
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